title: [Long-term changes on nasal tip in rhinoplasty patients operated with the new domes technique and the banner technique].
abstract: BACKGROUND
  Anatomy, surgical manoeuvres, scarring and physiologic nasal aging determine the final outcome of nasal tip on rhinoplasty patients.
  
  
  METHODS
  Post-operative nasal tip changes in 182 rhinoplasty patients operated on by the same surgeon and with a minimum one year of follow-up were studied. A personal interview was arranged with all patients and facial photographs were taken. Nasal tip rotation, projection and definition were measured.
  
  
  RESULTS
  After multivariate analysis, surgical manoeuvres with a statistical impact on the long-term outcome of the nasal tip were dome lateralization greater than 3 mm, columellar strut and shield graft.
  
  
  CONCLUSIONS
  Cartilage reshaping and tip grafting provide consistent long-lasting results in nasal tip surgery.
authors.affiliation: Servicio de Otorrinolaringología, Hospital Universitario Son Dureta, Palma de Mallorca, Baleares, España. e_morera@hotmail.com
authors.forename: Eduardo
authors.initials: E
authors.lastname: Morera Serna
authors.forename: Claudia Marcela
authors.initials: CM
authors.lastname: Escobar Forero
authors.forename: Fernando
authors.initials: F
authors.lastname: Pedroza Campos
authors.forename: Guillem
authors.initials: G
authors.lastname: Frontera Juan
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000033:anatomy & histology*; D011184:Postoperative Period; D012225:Rhinoplasty / Q000379:methods*; D013997:Time Factors